SCSEP Participant Customer Satisfaction Survey

SCSEP Performance Measurement System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0040 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9124A SCSEP Participant Customer Satisfaction Survey Form and Instruction
ETA 9124A Participant Customer Satisfaction Survey PARTICIPANT Survey ETA-9124A_9 13 10.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	SCSEP Participant Customer Satisfaction Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Part 641 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9124A	Participant Customer Satisfaction Survey	PARTICIPANT Survey ETA-9124A_9 13 10.pdf		Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,500	3,500	14,000
Annual IC Time Burden (Hours)	1,750	350	1,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.